BCH 471 Erythrocyte Sedimentation Rate ESR and Hematocrit

BCH 471 Erythrocyte Sedimentation Rate (ESR) and Hematocrit (HCT)

Objectives 1) Determination of erythrocyte sedimentation rate (ESR). 2) Determination of hematocrit (HCT). 3) To assess the condition of a patient by such tests.

Erythrocyte Sedimentation Rate (ESR) • ESR is the mm of plasma separated per hour. • It is used clinically as a non-specific screening test to: • detect the presence of infection in the body in general. • monitor the status of chronic inflammatory disease such as rheumatoid arthritis. • ESR is not diagnostic of any particular disease, but rather is an indication that a disease process is ongoing and must be investigated.

Principle In this technique, anticoagulated whole blood are allowed to sediment under the effect of gravity, using a narrow vertical tube called Westergren’s tube. • This test is based on the fact that inflammatory and necrotic processes cause an alteration in blood proteins, resulting in an aggregation of RBCs, which make them heavier and more likely to fall rapidly when placed in a special vertical tube. • The length of the column of clear plasma at the top is noted at the end of 1 hour.

Results Normal range Men 0 - 5 mm/ hr Women 0 - 10 mm/hr [They tend to have a higher ESR, and menstruation and pregnancy can cause temporary elevations ] conditions that inhibit the normal sedimentation of RBCs

Hematocrit (HCT) • HCT or packed cell volume (PCV) is the volume percentage (%) of RBCs in blood • It is used as a simple screening test for anemia. • Blood is collected in heparinized capillary tube, which is then sealed, centrifuged and the red cell volume expressed as a percentage of the whole blood. HCT

Calculation: HCT= Length of column of RBC x 100 Total length of blood component Normal ranges: Male: 40. 7 - 50. 3% Female: 36. 1 - 44. 3% LOW HIGH Leukemia Dehydration Living in high altitude